Medicaid EVV, authorizations, and medication records, connected visit by visit.
For HCBS and Medicaid-waiver providers, TimeGrid Care connects electronic visit verification, payer authorizations and unit tracking, and medication administration records, so each billed unit traces back to a verified, documented visit.

Where waiver programs lose time.
Most of the work isn’t the visit. It’s proving it, matching it to an authorization, and fixing what doesn’t line up.
From the authorization to the export, on one record.
Visit data captured at the point of care.
The caregiver, client, date, start and end time, and location are recorded at clock-in and clock-out, with a photo.
- GPS + photo at both ends of the visit
- Works offline
- Exceptions flagged automatically
See units before you run out.
Payer authorizations and unit limits are tracked per client and payer as visits are completed.
- Units used and remaining per authorization
- Per client and payer
- Visible to coordinators while scheduling
Every exception has a record.
Late, missed, and out-of-area visits are flagged for review. Resolutions and approvals are recorded with the visit.
- Exception queue with reasons
- Recorded corrections
- Approved visits ready for billing export
Medication records that live with the visit.
For services that include medication support, staff receive dose reminders and record each dose as Given, Refused, or Held in the same app they use for EVV. Missed doses escalate to the office for follow-up.
- Dose reminders in the caregiver app
- Given, Refused, or Held recorded per dose, with notes
- Missed doses escalated to the office
- Adherence reports and a medication review queue
From authorization to billing export.
How a waiver service moves through TimeGrid Care.
- 01Office
Authorization
The client’s payer authorization and units are entered.
- 02Office
Schedule
Visits are planned against the authorization.
- 03Caregiver
Verify
EVV at each visit. Anything off is flagged as an exception.
- 04Office
Resolve
A coordinator reviews each exception and records the reason.
- 05Office
Export
Approved visits and units are ready for billing export.
Fewer surprises after the visit.
- Units in view while you scheduleCoordinators can see what’s used and what’s left.
- Exceptions handled before billingProblems surface the same day, not when a claim is denied.
- A consistent record for reviewsVisit data, exceptions, and corrections kept together.
Outcomes depend on your agency’s processes and adoption. We don’t publish performance figures we haven’t measured.
Bringing your authorizations with you
Our team configures your account, migrates your client, caregiver, and schedule data from supported formats, and trains your staff. Most agencies are live and verifying visits within a week.
How onboarding works →Built with HIPAA-related safeguards.
Encryption in transit and at rest, tenant isolation, audit logging, and role-based access with MFA.
Does TimeGrid Care meet Medicaid EVV requirements?
TimeGrid Care is built to support Medicaid EVV requirements: it records who provided the service, for whom, when, and where, with GPS and a photo. Requirements and accepted systems vary by state, so confirm your state’s EVV model with us during a demo.
Do you integrate with our state’s EVV aggregator?
Larger and multi-site organizations can ask us about aggregator integration. Availability depends on the state and the aggregator.
Can we track units for more than one payer?
Yes. Authorizations and units are tracked per client and payer.
What happens when a caregiver forgets to clock out?
The visit is flagged as an exception for the office to review, and the correction is recorded with the visit.
Bring your waiver workflow to a demo.
We’ll show EVV, exceptions, and authorization tracking with services like yours.
Founding agencies join at $6 per active caregiver per month, locked for 12 months from go-live.